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Thank you for taking the time to fill out this questionnaire. I'd like to know where you are now, if you're involved in your community, what your community's needs are and to voice your generation's views on issues important to you. By understanding your concerns and involvement in your community, I can continue to proactively address the future needs of our communities.

When you are finished, please click "Submit Questionnaire" at the bottom of this page.

Name: (required)

Address:

City:

State:

ZIP Code:

E-mail Address: (required)

Do you still live in District 23?
YES / NO

What accomplishments have you made that you would like for me to know about?

What obstacles have you experienced since your graduation?

What issues are important to you?

What suggestions do you have to address the issues above?

What issues do you feel are not being addressed related to your community?

What suggestions do you have to address the issues related to your community?

If you are not currently active in your community, would you like to be?
YES / NO